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《Contemporary Medicine》 2018-24
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Clinical observation of minimally invasive treatment of spontaneous pneumothorax with central venous catheter

Yang Genlong;Yang Wu;Zou Wenxiong;Jiangxi Ji'an Central People's Hospital;  
Objective To explore the clinical efficacy of minimally invasive treatment of spontaneous pneumothorax with central venous catheter.Methods 50 patients with spontaneous pneumothorax admitted from July 2006 to May 2017 were selected.According to the order of admission,the patients were divided into the control group and the experimental group,with 25 cases in each group.The experimental group used the 16 G standard central venous catheter produced by Shanghai Puyi company to complete the tube pumping,or the closed water bottle for the treatment of spontaneous pneumothorax,and the patients in the control group were treated with common coarse silica gel drainage tube.Compare the efficacy and complications of two groups in the treatment of spontaneous pneumothorax.Results In the experimental group,20 cases were cured,4 cases were improved,1 cases were invalid,the effective rate was 96.00%.17 cases were cured,8 cases were improved and 0 cases were invalid in the control group.The effective rate was 100.00% and the two groups had no statistical significance.In the experimental group,1 cases,0 cases of subcutaneous emphysema,0 cases of wound infection and 0 cases of pleural reaction were found in the test group.In the control group,1 cases of plugging tube,2 cases of subcutaneous emphysema,4 cases of wound infection and 0 cases of pleural reaction,the number of subcutaneous emphysema,pleural reaction and wound infection in the experimental group were all lower than those in the control group,and there was a statistically significant difference between the groups(P0.05).Conclusion The minimally invasive treatment of pneumothorax by the central venous catheter is simple and easy to master.Compared with the traditional method,the treatment effect has little difference,and it has higher safety,less trauma and no serious complications in clinical.It has important clinical significance.It is worth popularizing and applying.
【CateGory Index】: R561.4
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